NSAIDs

NSAIDs

Learn how to use nonsteroidal anti-inflammatory drugs (NSAIDs) effectively and safely. By tracking your OTC and Rx NSAIDs, you can be sure you're taking scheduled doses properly and be on the lookout for side effects.

Conditions: Osteoarthritis, rheumatoid arthritis, migraine, back pain, neck pain, fibromyalgia, undiagnosed

Symptoms: aching, back pain, joint pain, joint tenderness, muscle pain, pain, pain at night, ankle pain, arm pain, buttock pain, elbow pain, finger pain, hand pain, hip pain, jaw pain, knee pain, lower back pain, neck pain, shoulder pain, thigh pain, upper back pain, wrist pain, sharp pain, shocking pain, shooting pain, tenderness, reddish joint, stiff joint, swollen joint, muscle spasms, warm joint, difficulty moving neck, difficulty sitting down, difficulty standing up, difficulty walking, limp, morning stiffness, neck stiffness, posture problems, reduced joint movement, stiffness, stiffness after rest, numbness, arm numbness, buttock numbness, foot numbness, hand numbness, leg numbness, shoulder numbness, thigh numbness, pins and needles, tingling, arm tingling, leg tingling, difficulty sleeping

Triggers:

Treatments: aspirin,Advil, ibuprofen, Aleve, naproxen sodium, Bufferin, buffered aspirin, celecoxib, Celebrex, Mobic, meloxicam, Motrin, Naprosyn, naproxen, Nuprin, Relafen, nabumetone, Voltaren, diclofenac, Anaprox, diflunisal, Dolobid, etodolac, Lodine, indomethacin, Indocin, ketoprofen, Orudis, oxaprozin, Daypro, piroxicam, Feldene, salsalate, sulindac, Clinoril, tolmetin, Tolectin

Categories: meds

Duration

7

NSAID Uses

Many people with pain are helped by NSAIDs. Common NSAIDs include: aspirin, ibuprofen, and naproxen.

These drugs can treat many conditions that are associated with chronic pain, inflammation, and swelling. However, in some people NSAIDs may cause heartburn, gastrointestinal ulcers, kidney problems, abdominal pain, and skin rashes. So even though they are available OTC, talk with your doctor about how you take NSAIDs.

Prompt: Are NSAIDs for you?

CTA: Find out if NSAIDs can help control your pain.

Conditions: Osteoarthritis, rheumatoid arthritis, migraine, back pain, neck pain, fibromyalgia, undiagnosed

Symptoms: aching, back pain, joint pain, joint tenderness, muscle pain, pain, pain at night, ankle pain, arm pain, buttock pain, elbow pain, finger pain, hand pain, hip pain, jaw pain, knee pain, lower back pain, neck pain, shoulder pain, thigh pain, upper back pain, wrist pain, sharp pain, shocking pain, shooting pain, tenderness, reddish joint, stiff joint, swollen joint, muscle spasms, warm joint, difficulty moving neck, difficulty sitting down, difficulty standing up, difficulty walking, limp, morning stiffness, neck stiffness, posture problems, reduced joint movement, stiffness, stiffness after rest, numbness, arm numbness, buttock numbness, foot numbness, hand numbness, leg numbness, shoulder numbness, thigh numbness, pins and needles, tingling, arm tingling, leg tingling, difficulty sleeping

Triggers:

Treatments: aspirin,Advil, ibuprofen, Aleve, naproxen sodium, Bufferin, buffered aspirin, celecoxib, Celebrex, Mobic, meloxicam, Motrin, Naprosyn, naproxen, Nuprin, Relafen, nabumetone, Voltaren, diclofenac, Anaprox, diflunisal, Dolobid, etodolac, Lodine, indomethacin, Indocin, ketoprofen, Orudis, oxaprozin, Daypro, piroxicam, Feldene, salsalate, sulindac, Clinoril, tolmetin, Tolectin

Categories: meds

NSAID Dosage

Be sure you're using the right dose at the right times. You want the lowest dose that effectively eases your pain. This helps reduce your risk of side effects. If you take more than one medicine, find out if they both contain NSAIDs. You could be doubling your dose, which could cause problems. Read package labels and ask your pharmacist to be sure a medicine is safe. Specifically ask if extra NSAIDs are OK in addition to the usual amounts you take.

Prompt: How many pills?

CTA: Use the lowest effective dose.

Conditions: Osteoarthritis, rheumatoid arthritis, migraine, back pain, neck pain, fibromyalgia, undiagnosed

Symptoms: aching, back pain, joint pain, joint tenderness, muscle pain, pain, pain at night, ankle pain, arm pain, buttock pain, elbow pain, finger pain, hand pain, hip pain, jaw pain, knee pain, lower back pain, neck pain, shoulder pain, thigh pain, upper back pain, wrist pain, sharp pain, shocking pain, shooting pain, tenderness, reddish joint, stiff joint, swollen joint, muscle spasms, warm joint, difficulty moving neck, difficulty sitting down, difficulty standing up, difficulty walking, limp, morning stiffness, neck stiffness, posture problems, reduced joint movement, stiffness, stiffness after rest, numbness, arm numbness, buttock numbness, foot numbness, hand numbness, leg numbness, shoulder numbness, thigh numbness, pins and needles, tingling, arm tingling, leg tingling, difficulty sleeping

Triggers:

Treatments: aspirin,Advil, ibuprofen, Aleve, naproxen sodium, Bufferin, buffered aspirin, celecoxib, Celebrex, Mobic, meloxicam, Motrin, Naprosyn, naproxen, Nuprin, Relafen, nabumetone, Voltaren, diclofenac, Anaprox, diflunisal, Dolobid, etodolac, Lodine, indomethacin, Indocin, ketoprofen, Orudis, oxaprozin, Daypro, piroxicam, Feldene, salsalate, sulindac, Clinoril, tolmetin, Tolectin

Categories: meds

NSAID Duration

Talk to your doctor to make sure you're using the lowest effective dose. Using NSAIDs long-term may increase your risk of side effects such as gastritis and stomach ulcers. Certain NSAIDs may increase risks to your heart. If you've taken NSAIDs consistently for more than 2 - 4 weeks, ask your doctor if there may be alternative ways to manage your pain.

Prompt: How long's too long?

CTA: Know how long you can safely take NSAIDs.

Conditions: Osteoarthritis, rheumatoid arthritis, migraine, back pain, neck pain, fibromyalgia, undiagnosed

Symptoms: Aching, back pain, joint pain, joint tenderness, muscle pain, pain, pain at night, ankle pain, arm pain, buttock pain, elbow pain, finger pain, hand pain, hip pain, jaw pain, knee pain, lower back pain, neck pain, shoulder pain, thigh pain, upper back pain, wrist pain, sharp pain, shocking pain, shooting pain, tenderness, reddish joint, stiff joint, swollen joint, muscle spasms, warm joint, difficulty moving neck, difficulty sitting down, difficulty standing up, difficulty walking, limp, morning stiffness, neck stiffness, posture problems, reduced joint movement, stiffness, stiffness after rest, numbness, arm numbness, buttock numbness, foot numbness, hand numbness, leg numbness, shoulder numbness, thigh numbness, pins and needles, tingling, arm tingling, leg tingling, difficulty sleeping

Triggers:

Treatments: aspirin, Advil, ibuprofen, Aleve, naproxen sodium, Bufferin, buffered aspirin, celecoxib, Celebrex, Mobic, meloxicam, Motrin, Naprosyn, naproxen, Nuprin, Relafen, nabumetone, Voltaren, diclofenac, Anaprox, diflunisal, Dolobid, etodolac, Lodine, indomethacin, Indocin, ketoprofen, Orudis, oxaprozin, Daypro, piroxicam, Feldene, salsalate, sulindac, Clinoril, tolmetin, Tolectin

Categories: Meds

NSAID Side Effects

Most people who take NSAIDs have few or no side effects. They are very well tolerated, but some of the more common side effects include:

 *Stomach problems, including ulcers

*An increased risk of bleeding

*Kidney damage

*Fluid retention resulting in leg swelling and possibly worsening heart failure

*An increase in blood pressure

*Can increase the risk of heart attack and stroke

*Ringing in the ears with high doses

Talk to your doctor if you have high blood pressure, kidney, or liver disease.

NSAID sensitivity may also lead to allergic type symptoms including itching, rashes, facial and other swelling, and wheezing. If you have any of these, stop taking the NSAID and get medical help ASAP.

Prompt: NSAID side effects?

CTA: Learn what to look for.

Conditions: Osteoarthritis, rheumatoid arthritis, migraine, back pain, neck pain, fibromyalgia, undiagnosed

Symptoms: aching, back pain, joint pain, joint tenderness, muscle pain, pain, pain at night, ankle pain, arm pain, buttock pain, elbow pain, finger pain, hand pain, hip pain, jaw pain, knee pain, lower back pain, neck pain, shoulder pain, thigh pain, upper back pain, wrist pain, sharp pain, shocking pain, shooting pain, tenderness, reddish joint, stiff joint, swollen joint, muscle spasms, warm joint, difficulty moving neck, difficulty sitting down, difficulty standing up, difficulty walking, limp, morning stiffness, neck stiffness, posture problems, reduced joint movement, stiffness, stiffness after rest, numbness, arm numbness, buttock numbness, foot numbness, hand numbness, leg numbness, shoulder numbness, thigh numbness, pins and needles, tingling, arm tingling, leg tingling, difficulty sleeping

Triggers:

Treatments: aspirin, Advil, ibuprofen, Aleve, naproxen sodium, Bufferin, buffered aspirin, celecoxib, Celebrex, Mobic, meloxicam, Motrin, Naprosyn, naproxen, Nuprin, Relafen, nabumetone, Voltaren, diclofenac, Anaprox, diflunisal, Dolobid, etodolac, Lodine, indomethacin, Indocin, ketoprofen, Orudis, oxaprozin, Daypro, piroxicam, Feldene, salsalate, sulindac, Clinoril, tolmetin, Tolectin

Categories: Meds

Prescription NSAIDs

Most people start with lower doses of NSAIDs, like ibuprofen or naproxen, available over the counter. If these don't help enough, ask your doctor about stronger prescription NSAIDs. These NSAIDs include Celebrex (celecoxib), Mobic (meloxicam), Relafen (nabumetone), and Voltaren (diclofenac). Some NSAID creams are also available only by prescription.

Prompt: Need NSAID Rx?

CTA: What's the difference?

Conditions: Osteoarthritis, rheumatoid arthritis, migraine, back Pain, neck pain, fibromyalgia, undiagnosed

Symptoms: aching, back pain, joint pain, joint tenderness, muscle pain, pain, pain at night, ankle pain, arm pain, buttock pain, elbow pain, finger pain, hand pain, hip pain, jaw pain, knee pain, lower back pain, neck pain, shoulder pain, thigh pain, upper back pain, wrist pain, sharp pain, shocking pain, shooting pain, tenderness, reddish joint, stiff joint, swollen joint, muscle spasms, warm joint, difficulty moving neck, difficulty sitting down, difficulty standing up, difficulty walking, limp, morning stiffness, neck stiffness, posture problems, reduced joint movement, stiffness, stiffness after rest, numbness, arm numbness, buttock numbness, foot numbness, hand numbness, leg numbness, shoulder numbness, thigh numbness, pins and needles, tingling, arm tingling, leg tingling, difficulty sleeping,

Triggers:

Treatments: aspirin,Advil, ibuprofen, Aleve, naproxen sodium, Bufferin, buffered aspirin, celecoxib, Celebrex, Mobic, meloxicam, Motrin, Naprosyn, naproxen, Nuprin, Relafen, nabumetone, Voltaren, diclofenac, Anaprox, diflunisal, Dolobid, etodolac, Lodine, indomethacin, Indocin, ketoprofen, Orudis, oxaprozin, Daypro, piroxicam, Feldene, salsalate, sulindac, Clinoril, tolmetin, Tolectin

Categories: meds

Track NSAID Use

Each day in your Journal, track the time and the dose of each NSAID you take. You can:

* Add a note about any side effects.

* Review with your doctor to make sure you're not taking too much and that you're not accidentally getting additional doses of an NSAID in another combination med or from a drug under another name.

* Track your NSAID use against your tracked pain levels to see if the NSAID is managing pain and other symptoms as well as you expected.

Prompt: Make an NSAID trail.

CTA: Log NSAID use.

Conditions: Osteoarthritis, rheumatoid arthritis, migraine, back pain, neck pain, fibromyalgia, undiagnosed

Symptoms: aching, back pain, joint pain, joint tenderness, muscle pain, pain, pain at night, ankle pain, arm pain, buttock pain, elbow pain, finger pain, hand pain, hip pain, jaw pain, knee pain, lower back pain, neck pain, shoulder pain, thigh pain, upper back pain, wrist pain, sharp pain, shocking pain, shooting pain, tenderness, reddish joint, stiff joint, swollen joint, muscle spasms, warm joint, difficulty moving neck, difficulty sitting down, difficulty standing up, difficulty walking, limp, morning stiffness, neck stiffness, posture problems, reduced joint movement, stiffness, stiffness after rest, numbness, arm numbness, buttock numbness, foot numbness, hand numbness, leg numbness, shoulder numbness, thigh numbness, pins and needles, tingling, arm tingling, leg tingling, difficulty sleeping

Triggers:

Treatments: aspirin,Advil, ibuprofen, Aleve, naproxen sodium, Bufferin, buffered aspirin, celecoxib, Celebrex, Mobic, meloxicam, Motrin, Naprosyn, naproxen, Nuprin, Relafen, nabumetone, Voltaren, diclofenac, Anaprox, diflunisal, Dolobid, etodolac, Lodine, indomethacin, Indocin, ketoprofen, Orudis, oxaprozin, Daypro, piroxicam, Feldene, salsalate, sulindac, Clinoril, tolmetin, Tolectin

Categories: meds

OA Relief

NSAIDs are the most popular OA pain reliever, but many treatment guidelines advise starting with acetaminophen, which includes brands such as Aminofen, Mapap, Panadol, and Tylenol.

If you don't get adequate pain relief with acetaminophen, your doctor may suggest NSAIDs as an alternative. Both OTC and prescription NSAIDs help treat pain. 

Prompt: NSAIDs for OA?

CTA: Learn the details.

Conditions: Osteoarthritis

Symptoms: aching, back pain, joint pain, joint tenderness, pain, pain at night, ankle pain, arm pain, elbow pain, finger pain, hand pain, hip pain, jaw pain, knee pain, lower back pain, neck pain, shoulder pain, upper back pain, wrist pain, reddish joint, stiff joint, swollen joint, warm joint, difficulty moving neck, difficulty sitting down, difficulty standing up, morning stiffness, neck stiffness, reduced joint movement, stiffness, stiffness after rest

Triggers:

Treatments: aspirin,Advil, ibuprofen, Aleve, naproxen sodium, Bufferin, buffered aspirin, celecoxib, Celebrex, Mobic, meloxicam, Motrin, Naprosyn, naproxen, Nuprin, Relafen, nabumetone, Voltaren, diclofenac

Categories: meds

WebMD Medical Reference Reviewed by Sabrina Felson, MD on May 23, 2019

Sources

SOURCES:

FamilyDoctor.org: "Low Back Pain: Tips on Pain Relief and Prevention."

American Academy of Orthopedic Surgeons: "Low Back Pain."

American Academy of Orthopaedic Surgeons: "What are NSAIDs?"

American College of Gastroenterology: "The Dangers of Aspirin and NSAIDs."

American College of Rheumatology: "Information for Patients About NSAIDs."

Arthritis Foundation: "Cardiovascular Risk and NSAID Use."

Arthritis Foundation: "Fibromyalgia: Treatment Options."

Arthritis Foundation: "Making Sense of NSAIDs: Side Effects."

Arthritis Foundation: "Osteoarthritis."

Arthritis Foundation: "Studies Highlight the Risks and Health-Care Costs of NSAID Injury."

Fibromyalgia Network: "Treatment Studies."

National Institute of Arthritis and Musculoskeletal and Skin Diseases: "Fast Facts About Fibromyalgia."

The University of Chicago: "Treatment and Therapy - Pain Medication."

University of Maryland Medical Center: "Low Back Pain."

British Medical Journal: "Non steroidal anti-inflammatory drugs (NSAIDS)."

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